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A multi-centre, prospective epidemiological surveillance study considering ophthalmic complications of functional endoscopic sinus surgery

Published online by Cambridge University Press:  09 March 2020

S Burgess ,
J Foulds ,
P White ,
B Foot  and
C MacEwen
S Burgess*
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland
J Foulds
Affiliation:
Department of Ophthalmology, Queen Margaret Hospital, Dunfermline, Scotland
P White
Affiliation:
Department of ENT, Ninewells Hospital and Medical School, Dundee, Scotland
B Foot
Affiliation:
Royal College of Ophthalmologists, London, UK
C MacEwen
Affiliation:
Department of Ophthalmology, Ninewells Hospital and Medical School, Dundee, Scotland
*
Author for correspondence: Mr Stephen Burgess, Department of Ophthalmology, Ninewells Hospital, DundeeDD1 9SY, Scotland, UK E-mail: stephenburgess@nhs.net
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Abstract

Objectives

This prospective, epidemiological British Ophthalmological Surveillance Unit study into ophthalmic complications of functional endoscopic sinus surgery aimed to determine the minimum incidence, presenting features and management throughout the UK.

Methods

Cases of ophthalmic complications of functional endoscopic sinus surgery, between February 2016 and February 2018, were identified through the British Ophthalmological Surveillance Unit reporting card system. Reporting ophthalmic consultants were sent an initial questionnaire, followed by a second questionnaire at six months.

Results

Twenty-six cases of ophthalmic complications of functional endoscopic sinus surgery were reported. The majority (16 cases (62 per cent)) had limitations of ocular motility at presentation. The most common final diagnosis was rectus muscle (33 per cent) and nasolacrimal duct trauma (27 per cent). Using national data, this study reports a minimum incidence of ophthalmic complications of functional endoscopic sinus surgery in the UK of 0.2 per cent over two years.

Conclusion

In terms of ophthalmic complications, functional endoscopic sinus surgery is shown to be safe. Ophthalmic complications are rare, but when they do occur, they commonly result in rectus muscle trauma, often requiring surgical intervention.

Keywords

Surgical EndoscopyEpidemiologyNasal SinusesPostoperative ComplicationsEye Injuries
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 3 , March 2020 , pp. 228 - 232
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Mr S Burgess takes responsibility for the integrity of the content of the paper

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